I can be contacted through my office at 1301 Oak Street in Kansas City, Missouri. You can reach me by telephone at (816) 714-8485 or by email at email@example.com.
I am a member in good standing of the American Hypnosis Association. Members are expected to stay up to date with the latest knowledge and respond to the changing circumstances of the profession. Members are bound by a strict Code of Ethics. The information you receive about hypnotism will be honest, accurate, avoid unjustifiable claims, and be consistent with maintaining the standard of the profession.
You will be informed of the likely number of sessions you may need, what the cost will be, and any other relevant information as early as possible. Your visits are designed to achieve the desired outcome in the smallest number of sessions possible. I will be sensitive to your beliefs, ethnicity, gender/identity, and sexual orientation. I will not ask intrusive questions unless there is a clear and justifiable need to do so.
I graduated from the Hypnosis Motivation Institute in Southern California, where I completed a one year course of instruction from the nation's first accredited college of hypnosis, including an internship of practical experience under the supervision of staff instructors holding teaching credentials from the State Department of Education. I also received a Certificate in Positive Psychology from the University of North Carolina at Chapel Hill, and training in Mindfulness-Based Stress Reduction from the University of Massachusetts Medical School. I am a professional member of the American Hypnosis Association and do annual continuing education to maintain my training at a high level.
To increase the credibility and integrity of my services, I have voluntarily passed a background screening conducted by Checkr, an accredited third-party background check provider. Screenings include Identity Verification, National Criminal Records search, Sex Offender Registry search, and Global Watchlist search.
As the state of Missouri has not adopted educational and training standards for the practice of hypnotism, this statement of credentials is for informational purposes only. Hypnotism is a self-regulating profession and its practitioners are not licensed by state governments. I am not a physician nor a licensed health care provider and may not provide a medical diagnosis nor recommend discontinuance of medically prescribed treatments. If a client desires a diagnosis or any other type of treatment from a different practitioner, the client may seek such services at any time. In the event my services are terminated, the client has a right to a coordinated transfer of services to another practitioner. A client has a right to refuse hypnotism services at any time. A client has a right to be free of physical, verbal, or sexual abuse. A client has a right to know the expected duration of sessions, and may assert any right without retaliation.
All of your personal details, the nature of your sessions, and your identity will remain confidential. I will not release any information to anyone without a written authorization from you, except as provided for by law.
My current fee (2019) is $125 per session. If you choose to pay for a three session package the fee is reduced to $325 (you save $50). I accept cash, debit, credit, and health savings cards. While I do not charge a cancellation fee, my full fee of $125 will be billed for no shows.
I do not engage in correspondence with insurance companies. In general, insurance companies do not cover hypnotic services, and I caution you not to expect them to.
The services I render are held out to the public as non-therapeutic hypnotism, defined as the use of hypnosis to inculcate positive thinking and the capacity for self-hypnosis. The self-hypnotic state is a state of relaxed concentration which anyone can enter naturally. I provide clients with instruction in how to enter this natural state more easily and effectively. I do not represent my services as a form of health care or psychotherapy, and despite research to the contrary, by law I make no health benefit claims for my services.
By receiving this document, I acknowledge that:
I have read and understand this Client Bill of Rights;
I understand this is not a contract and that I may end my sessions at any time;
I understand that Harley Sears has initially recommended a series of three sessions at a frequency of once-a-week to address my presenting issue.